{"id":74987,"date":"2022-06-16T07:03:48","date_gmt":"2022-06-16T05:03:48","guid":{"rendered":"https:\/\/slf.se\/sof\/ortopediskt-magasin\/?p=74987"},"modified":"2022-06-16T07:03:48","modified_gmt":"2022-06-16T05:03:48","slug":"trauma-atls","status":"publish","type":"post","link":"https:\/\/slf.se\/sof\/ortopediskt-magasin\/trauma-atls\/","title":{"rendered":"Trauma &#038; ATLS"},"content":{"rendered":"\n<p id=\"h-knappt-har-vi-dragit-en-l-ttnadens-suck-efter-tv-r-av-pandemi-s-utbryter-krig-i-europa-vi-var-nog-m-nga-som-sov-d-ligt-n-r-ryssland-invaderade-ukraina-i-februari\"><strong>Knappt har vi dragit en l\u00e4ttnadens suck efter tv\u00e5 \u00e5r av pandemi s\u00e5 utbryter krig i Europa. Vi var nog m\u00e5nga som sov d\u00e5ligt n\u00e4r Ryssland invaderade Ukraina i februari.\u00a0<\/strong><\/p>\n\n\n\n<p id=\"h-storpolitiska-fr-gor-och-orosmoln-blandades-med-mer-personn-ra-fr-gor-vad-vet-jag-om-krig-och-krigsskador-kommer-jag-som-traumatolog-och-atls-instrukt-r-snart-att-beh-va-tj-nstg-ra-vid-en-krigsfront-hj-lp-visst-kan-jag-amputera-och-faktiskt-ocks-gipsa-men-r-cker-det-hur-uppdaterade-r-vi-har-utbildningen-i-akut-traumatiskt-omh-ndertagande-st-tt-still-under-pandemin-r-vi-som-kollektiv-s-mre-uppdaterade-n-n-gonsin-har-saker-ndrats-sedan-jag-gick-atls-hur-g-r-man-med-skottskador-ska-man-l-mna-kvar-alla-kulor-trots-ett-kat-antal-skjutningar-och-v-ldsd-d-p-senare-r-i-v-rt-trygga-land-s-ser-vi-tack-och-lov-inte-dessa-skador-varje-dag\">Storpolitiska fr\u00e5gor och orosmoln blandades med mer personn\u00e4ra fr\u00e5gor: Vad vet jag om krig och krigsskador? Kommer jag som traumatolog och ATLS-instrukt\u00f6r snart att beh\u00f6va tj\u00e4nstg\u00f6ra vid en krigsfront? Hj\u00e4lp! Visst kan jag amputera och faktiskt ocks\u00e5 gipsa. Men r\u00e4cker det? Hur uppdaterade \u00e4r vi? Har utbildningen i akut traumatiskt omh\u00e4ndertagande st\u00e5tt still under pandemin? \u00c4r vi som kollektiv s\u00e4mre uppdaterade \u00e4n n\u00e5gonsin? Har saker \u00e4ndrats sedan jag gick ATLS? Hur g\u00f6r man med skottskador? Ska man l\u00e4mna kvar alla kulor? Trots ett \u00f6kat antal skjutningar och v\u00e5ldsd\u00e5d p\u00e5 senare \u00e5r i v\u00e5rt trygga land s\u00e5 ser vi tack och lov inte dessa skador varje dag.\u00a0<\/p>\n\n\n\n<p id=\"h-i-detta-nummer-av-ortopediskt-magasin-har-vi-tittat-n-rmare-p-hur-utbildningen-avseende-atls-fungerade-under-pandemin-martin-sundel-f-verl-kare-kirurg-tidigare-nationell-koordinator-f-r-atls-beskriver-hur-man-kunde-h-lla-utbildningarna-i-g-ng-trots-begr-nsningarna-han-ber-ttar-ocks-sammanfattande-vad-som-r-nytt-i-den-nya-upplagan-b-de-vad-g-ller-praktisk-handl-ggning-av-sv-rt-skadade-patienter-men-ocks-hur-pedagogiken-har-ndrats-v-sentligt-de-senaste-ren\"><strong>I detta nummer <\/strong>av Ortopediskt Magasin har vi tittat n\u00e4rmare p\u00e5 hur utbildningen avseende ATLS fungerade under pandemin. Martin Sundel\u00f6f, \u00f6verl\u00e4kare, kirurg, tidigare nationell koordinator f\u00f6r ATLS beskriver hur man kunde h\u00e5lla utbildningarna i g\u00e5ng trots begr\u00e4nsningarna. Han ber\u00e4ttar ocks\u00e5 sammanfattande vad som \u00e4r nytt i den nya upplagan, b\u00e5de vad g\u00e4ller praktisk handl\u00e4ggning av sv\u00e5rt skadade patienter men ocks\u00e5 hur pedagogiken har \u00e4ndrats v\u00e4sentligt de senaste \u00e5ren.&nbsp;<\/p>\n\n\n\n<p id=\"h-en-sak-som-radikalt-f-r-ndrats-och-utvecklats-inom-atls-och-phtls-prehospital-trauma-life-support-r-att-man-fr-ng-tt-spinal-immobilisering-till-f-rm-n-f-r-begreppet-r-relsebegr-nsning-de-nya-principerna-har-precis-implementerats-via-en-nationell-arbetsgrupp-och-sprids-nu-ver-sverige-anna-mcdowall-verl-kare-i-ryggkirurgi-och-mattias-wahlborg-verl-kare-i-traumaortopedi-beskriver-pedagogiskt-hur-man-ska-handl-gga-traumapatienter-avseende-selektiv-r-relsebegr-nsning\"><strong>En sak som<\/strong> radikalt f\u00f6r\u00e4ndrats och utvecklats inom ATLS och PHTLS (PreHospital Trauma Life Support) \u00e4r att man fr\u00e5ng\u00e5tt spinal \u201dImmobilisering\u201d till f\u00f6rm\u00e5n f\u00f6r begreppet \u201dr\u00f6relsebegr\u00e4nsning\u201d. De nya principerna har precis implementerats via en nationell arbetsgrupp och sprids nu \u00f6ver Sverige. Anna McDowall, \u00f6verl\u00e4kare i ryggkirurgi och Mattias Wahlborg, \u00f6verl\u00e4kare i traumaortopedi beskriver pedagogiskt hur man ska handl\u00e4gga traumapatienter avseende selektiv r\u00f6relsebegr\u00e4nsning.<\/p>\n\n\n\n<p id=\"h-per-loft-s-kirurg-och-regional-beredskaps-verl-kare-vid-katastrofmedicinskt-centrum-i-link-ping-beskriver-f-r-oss-ortopeder-hur-man-ska-t-nka-vid-skottskador-l-s-den-artikeln-extra-noga-h-r-finns-mycket-praktiskt-matnyttigt-som-kommer-att-gagna-v-ra-patienter-i-klinisk-vardag\"><strong>Per Loft\u00e5s, kirurg<\/strong> och regional beredskaps\u00f6verl\u00e4kare vid katastrofmedicinskt centrum i Link\u00f6ping beskriver f\u00f6r oss ortopeder hur man ska t\u00e4nka vid skottskador. L\u00e4s den artikeln extra noga, h\u00e4r finns mycket praktiskt matnyttigt som kommer att gagna v\u00e5ra patienter i klinisk vardag.<\/p>\n\n\n\n<p id=\"h-till-sist-har-vi-inom-temat-trauma-en-livfull-beskrivning-om-hur-det-r-att-som-ung-l-kare-i-b-rjan-av-sin-specialistutbildning-g-en-modern-atls-kurs-bela-lerstr-m-fr-n-norrt-lje-tar-oss-igenom-de-fullsp-ckade-interaktiva-dagarna-och-det-adrenalinstinna-praktiska-examensprovet\"><strong>Till sist har <\/strong>vi inom temat trauma en livfull beskrivning om hur det \u00e4r att som ung l\u00e4kare i b\u00f6rjan av sin specialistutbildning g\u00e5 en modern ATLS-kurs. Bela Lerstr\u00f6m fr\u00e5n Norrt\u00e4lje tar oss igenom de fullsp\u00e4ckade interaktiva dagarna och det adrenalinstinna praktiska examensprovet.&nbsp;<\/p>\n\n\n\n<p id=\"h-med-kriget-i-tanke-l-s-och-l-r-vi-kanske-beh-ver-denna-kunskap-f-rr-n-vi-anar-hoppas-inte\"><strong>Med kriget i <\/strong>\u00e5tanke, l\u00e4s och l\u00e4r. Vi kanske beh\u00f6ver denna kunskap f\u00f6rr \u00e4n vi anar. Hoppas inte.<\/p>\n\n\n\n<p><em>Karin Bernhoff<\/em><br><em>Huvudredakt\u00f6r<br>Ortopediskt Magasin<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Knappt har vi dragit en l\u00e4ttnadens suck efter tv\u00e5 \u00e5r av pandemi s\u00e5 utbryter krig i Europa. Vi var nog m\u00e5nga som sov d\u00e5ligt n\u00e4r Ryssland invaderade Ukraina i februari.\u00a0 Storpolitiska fr\u00e5gor och orosmoln blandades med mer personn\u00e4ra fr\u00e5gor: Vad vet jag om krig och krigsskador? Kommer jag som traumatolog och ATLS-instrukt\u00f6r snart att beh\u00f6va &hellip; <a href=\"https:\/\/slf.se\/sof\/ortopediskt-magasin\/trauma-atls\/\">L\u00e4s hela<\/a><\/p>\n","protected":false},"author":3,"featured_media":74989,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"local_restriction":[],"class_list":["post-74987","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Ortopediskt magasin<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/slf.se\/sof\/ortopediskt-magasin\/trauma-atls\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Trauma &amp; ATLS\" \/>\n<meta property=\"og:description\" content=\"Knappt har vi dragit en l\u00e4ttnadens suck efter tv\u00e5 \u00e5r av pandemi s\u00e5 utbryter krig i Europa. Vi var nog m\u00e5nga som sov d\u00e5ligt n\u00e4r Ryssland invaderade Ukraina i februari.\u00a0 Storpolitiska fr\u00e5gor och orosmoln blandades med mer personn\u00e4ra fr\u00e5gor: Vad vet jag om krig och krigsskador? 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